ATI RN
ATI Maternal Newborn Care Exam 4A Questions
Extract:
A nurse is assisting in the care of a newborn immediately following birth. The nurse notes mucus bubbling out of the newborn's mouth and nose.
Question 1 of 5
Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Suctioning the mouth with a bulb syringe is the first step to clear mucus and ensure a patent airway.
Extract:
Which of the following symptoms would be indicative of hypovolemic shock after giving birth? (select all that apply)
Question 2 of 5
skin color becomes ashen
Correct Answer: A,B,C
Rationale: Ashen skin, weakness/lightheadedness/nausea, and declining BP are signs of hypovolemic shock due to blood loss.
Extract:
A nurse is reinforcing teaching about strategies to calm a newborn with a client who is postpartum.
Question 3 of 5
Which of the following suggestions should the nurse make? (Select all that apply.)
Correct Answer: A,C,E
Rationale: Carrying in a pack, swaddling, and car rides provide comfort and security, soothing the newborn. Allowing prolonged crying or placing in a large crib does not promote calming.
Extract:
The mother's temperature is slightly elevated 12 hours after delivery of the baby.
Question 4 of 5
The mother's temperature is slightly elevated 12 hours after delivery of the baby. What additional assessment would the nurse perform first?
Correct Answer: C
Rationale: Checking lochia for abnormal color or odor can indicate infection, a common cause of elevated temperature.
Extract:
A nurse is caring for a client who is 4 hr postpartum. The nurse finds a small amount of lochia rubra on the client's perineal pad. The fundus is midline and firm at the umbilicus.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Checking for blood under the buttock ensures no excessive bleeding or hematoma, as the small amount of lochia rubra and firm fundus are normal.